Active NPI
Flora's Loving Hands
- Intellectual & Developmental Disabilities Psychologist
- Lithonia, GA
National Provider Identifier
1730637059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- FLORA'S LOVING HANDS
- Practice address
- 4891 Eagles Ridge Loop
Lithonia, GA 30038 - Phone
- (678) 570-8129
- Fax
- (678) 330-1837
- NPI assigned
- Sep 15, 2016
- Last updated
- Sep 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anyon Yvonne Scruggs
- Title
- Owner/Director
- Phone
- (678) 570-8129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | GA | Primary |
Addresses
Primary practice location
4891 Eagles Ridge Loop
Lithonia, GA 30038
Mailing address
P.O. Box 361647
Decatur, GA 30036
Phone (678) 570-8129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 903818253A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1730637059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 361647",
"city": "DECATUR",
"state": "GA",
"postal_code": "30036",
"telephone_number": "678-570-8129",
"fax_number": "678-330-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4891 EAGLES RIDGE LOOP",
"city": "LITHONIA",
"state": "GA",
"postal_code": "30038",
"telephone_number": "678-570-8129",
"fax_number": "678-330-1837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORA'S LOVING HANDS",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "SCRUGGS",
"authorized_official_first_name": "ANYON",
"authorized_official_middle_name": "YVONNE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "678-570-8129"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903818253A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.